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[：Q].

Su-Jung Wei1, Hsiao-Yun Chang2, Shu-Ming Chen3

  • 1MSN, RN, Nurse Practitioner, Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Taiwan, ROC.

Hu Li Za Zhi the Journal of Nursing
|December 6, 2019
PubMed
Summary
This summary is machine-generated.

Nurse practitioners (NPs) experience a gap between expected and actual role competencies, particularly in medical assistance. Higher education and association membership correlate with higher self-expectations for clinical competence.

Keywords:
Q-sortsnurse practitionerrole competency

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Area of Science:

  • Nursing Practice
  • Healthcare Professional Development
  • Advanced Practice Nursing

Background:

  • Nurse practitioners (NPs) encounter a persistent dilemma regarding the discrepancy between expected and actual role competencies in clinical practice.
  • This gap impacts the effective development and utilization of NP skills in healthcare settings.

Purpose of the Study:

  • To investigate the perceived importance and actual practice of nurse practitioner (NP) role competencies.
  • To identify differences between ideal and practical domains of NP roles.
  • To explore factors related to these discrepancies in NP role competency.

Main Methods:

  • A cross-sectional study utilizing Q-sort methodology for data collection.
  • Employed a 56-item "Nurse Practitioner Role Capacity Questionnaire" assessing perceived importance and actual execution of competencies.
  • Data collected from 40 participants (21 internal medicine, 19 surgical medicine NPs) over two separate time points.

Main Results:

  • Significant differences found between perceived importance and actual practice in medical assistance, clinical research, professional consultation, and direct care domains.
  • Education level and membership in the Nurse Practitioner Association were identified as correlative factors influencing these differences.
  • Higher education and NP Association membership were associated with higher self-perceived importance of clinical competencies.

Conclusions:

  • Discrepancies in NP role expectations are evident, notably influenced by their role in providing medical assistance.
  • NPs require enhanced learning and demonstration of advanced nursing practice roles to significantly advance nursing professionalism.
  • Addressing the gap between expectation and practice is crucial for optimizing NP contributions to healthcare.